MEDICARE: DR. DANJA WORDEN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	P21252	NC
2	2251N0400X	Neurology Physical Therapist	P21252	NC

General Provider Information

NPI Number	:	1033857271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANJA WORDEN DPT

Provider Business Mailing Address
First Line	:	1309 SURRY DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27408-6119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 W WENDOVER AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27408-8401
Country	:	US
Telephone Number	:	336-274-5006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2022
Last Update Date	:	12/18/2025

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